QUEENS UNIVERSITY OF CHARLOTTE (NPI# 1457986515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457986515 |
Entity Type | Organization |
Organization Name | QUEENS UNIVERSITY OF CHARLOTTE |
Practice Address |
1900 Selwyn Ave Charlotte NC 28274-0001 |
Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
Practice Telephone | 9723674845 |
Enumeration Date | 2020-03-10 |
Last Update Date | 2020-03-10 |
Authorized Official Name | MOUZON BASS (ADMINISTRATOR/AGENT) |
Authorized Official Telephone | 9723674845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Queens Sports Medicine | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | QUEENS UNIVERSITY OF CHARLOTTE | 1900 Selwyn Ave, Charlotte, NC 28274-0001 |
Street Address |
1900 SELWYN AVE |
City | CHARLOTTE |
State | NC |
Zip Code | 28274-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942404124 | Varvara Pasiali | Music Therapist | 1900 Selwyn Ave, Charlotte, NC 28274-1120 | 2007-06-12 |
1962994574 | Rachel Lea Taylor | Specialist/Technologist | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2018-05-31 |
1174015788 | Jordan Heinlein | Specialist/Technologist | 1900 Selwyn Ave, Charlotte, NC 28207-2450 | 2018-05-31 |
1154813756 | Willie Phillips II | Physical Medicine & Rehabilitation | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2018-05-31 |
1003297367 | Meg Johnson | Music Therapist | 1900 Selwyn Ave, Queens University of Charlotte, Charlotte, NC 28274-0001 | 2015-06-12 |
1518389808 | Michael Haber | Community Health Worker | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2014-01-06 |
1205189008 | Healthstat- Queens University | Preventive Medicine | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2012-10-18 |
1013195031 | Rebecca Hope Rich | Specialist/Technologist | 1900 Selwyn Ave, #421, Charlotte, NC 28274-0001 | 2008-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376035972 | Nashea Kiehl | Specialist/Technologist | Queens University of Charlotte 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2018-05-31 |
1356583496 | Sandra Lynn Rogelberg | Counselor | Queens University of Charlotte, 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2009-04-06 |
1154522019 | Sue M. Setzer | Specialist | Union Theological Seminary-psce At Charlotte, 1900 Selwyn Avenue, Charlotte, NC 28274-0001 | 2007-05-29 |
1962037127 | A Square Transportation Services Incorporated | Transportation Broker | 13634 Royalwood Ln, Charlotte, NC 28274-4716 | 2020-03-09 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
1336680388 | Johnson C. Smith University | Family Medicine | 100 Beatties Ford Rd, Charlotte, NC 28216-5302 | 2017-03-10 |
1285868117 | Augustus Garland Parker Iv | Family Medicine | 5815 Blakeney Park Dr, Suite 200 B, Charlotte, NC 28277-5731 | 2009-05-06 |
1700046547 | Anthony Martin Jr. | Family Medicine | 2001 Vail Ave, Ste 400, Charlotte, NC 28207-1248 | 2008-06-16 |
1598970840 | Catherine Rainbow | Family Medicine | 14214 Ballantyne Lake Rd, Suite 150b, Charlotte, NC 28277-3372 | 2007-05-11 |
1336181452 | Novant Medical Group Inc | Family Medicine | 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 | 2006-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760831028 | William M Sykes | Family Medicine | 129 T.t. Lanier St., Buies Creek, NC 27506 | 2016-06-08 |
1730561655 | Brendan Jay Michel | Family Medicine | 437 Little Fisher Trl, Mount Airy, NC 27030-6900 | 2015-06-27 |
1699179804 | Carolinas Physicians Network Inc | Family Medicine | 48380 Us Highway 52 N, Misenheimer, NC 28109 | 2014-10-17 |
1548509805 | Carolinas Physician Network, Inc. | Family Medicine | 332 North Trade Street, Suite 1200, Matthews, NC 28105-6566 | 2013-02-06 |
1699903211 | Robert Alcott | Family Medicine | 6050 W Highway 74, Ste D, Indian Trail, NC 28079-3591 | 2009-06-23 |
1962637926 | Thomas Joseph Thekkekandam | Family Medicine | 1635 Nc Highway 66 S, Suite 210, Kernersville, NC 27284-3854 | 2009-05-20 |
1477738714 | Forsyth Medical Group, LLC. | Family Medicine | 1900 S Hawthorne Rd Ste 480, Dba Sports Medicine Associates, Winston Salem, NC 27103-3913 | 2008-01-07 |
1396938171 | Lawrence M Linett, Md, Pllc | Family Medicine | 431 Western Blvd Ste E, Jacksonville, NC 28546-6823 | 2007-08-24 |
1962536516 | Richard T. Ferro | Family Medicine | 6832 Market St, Suite A, Wilmington, NC 28405-9723 | 2007-03-15 |
1700933884 | John Edward Siegel | Family Medicine | 1001 E. Fifth St., East Carolina Univ., Greenville, NC 27858 | 2007-01-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.